Provider Demographics
NPI:1073293205
Name:BERRIES HEALTH
Entity Type:Organization
Organization Name:BERRIES HEALTH
Other - Org Name:BERRIES HEALTH AND GENETICS LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEYED
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSSEINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-215-5469
Mailing Address - Street 1:204 CENTRAL WAY STE D
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6170
Mailing Address - Country:US
Mailing Address - Phone:425-215-5469
Mailing Address - Fax:
Practice Address - Street 1:204 CENTRAL WAY STE D
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6170
Practice Address - Country:US
Practice Address - Phone:425-215-5469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory